Deborah Armah, van der Wath Annatjie, Yazbek Mariatha, Naab Florence
Department of Maternal and Child Health, School of Nursing, College of Health Sciences, University of Ghana, Ghana.
Department of Nursing Science, University of Pretoria, Pretoria, South Africa.
Afr Health Sci. 2024 Sep;24(3):274-282. doi: 10.4314/ahs.v24i3.31.
The psychosocial health problems associated with infertility is compounded in African women when prevailing cultural expectations emphasize the value of parenthood. Despite the social stigma these women endure, they are still mostly managed from a biomedical approach, especially in Ghana, the context of the study.
This study explored the views of a panel of experts to reach consensus on holistic guidelines to manage women with infertility in Ghana.
An e-Delphi technique was employed to retrieve information using a panel of 20 experts. Data collection was conducted in two rounds, and each participating expert was emailed the preliminary guidelines to rate based on certain criteria. Data analysis was done in accordance with the expert participants' rating of and comments on the guidelines.
The final guidelines for holistic healthcare to manage women with infertility include the following interventions: Holistic healthcare assessment, psychological interventions, health education, spiritual support, relevant support from significant others; all within a therapeutic relationship.
When healthcare providers use the final set of guidelines to manage women diagnosed with infertility, these women will receive holistic healthcare to attain optimal health and improved chances of conceiving.
当普遍的文化期望强调为人父母的价值时，非洲女性与不孕相关的心理社会健康问题会更加复杂。尽管这些女性承受着社会耻辱，但在加纳（本研究的背景），她们大多仍采用生物医学方法进行治疗。
本研究探讨了专家小组的观点，以就加纳不孕女性的整体管理指南达成共识。
采用电子德尔菲技术，利用一个由20名专家组成的小组来获取信息。数据收集分两轮进行，向每位参与的专家发送初步指南，让他们根据特定标准进行评分。根据专家参与者对指南的评分和评论进行数据分析。
管理不孕女性的整体医疗保健最终指南包括以下干预措施：整体医疗保健评估、心理干预、健康教育、精神支持、重要他人的相关支持；所有这些都在治疗关系范围内。
当医疗保健提供者使用最终的指南来管理被诊断为不孕的女性时，这些女性将获得整体医疗保健，以实现最佳健康状态并提高受孕几率。
